Lidice Duran Hernandez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19352 Issued in FL

Practice address

3316 NW 4TH Ter
Cape Coral, FL 33993-5607

Phone

(941) 441-7474

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lidice Duran Hernandez Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rivas Psychotherapy

  • Mental Health Counselor
  • Weston, FL
  • NPI 1437921368
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1104601558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 NW 4TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935607",
            "telephone_number": "941-441-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 NW 4TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935607",
            "telephone_number": "941-441-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN HERNANDEZ",
        "first_name": "LIDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDICE",
            "last_name": "DURAN HERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Marie Dunne, COTA/L
• Sue A Dupont, PT ATC
• Jenny-Flore Dupuy
• Damiana Duran Candia
• Daniela Duran Cintra, NP
• Nathalie Duran Linares
• Vivian Bianca Duran
• Dunnett Capdevilla Durando, D.O.
• Patricia J Dury, M.D.
• Dva Healthcare Renal Care Inc

• Mental Health Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.